Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 2
Subtitle 09 - MEDICAL CARE PROGRAMS
Chapter 10.09.59 - Specialty Mental Health Services
Section 10.09.59.05 - Eligibility
Universal Citation: MD Code Reg 10.09.59.05
Current through Register Vol. 51, No. 19, September 20, 2024
A. A participant is eligible for specialty mental health services if:
B. Individuals are eligible for Psychiatric Rehabilitation Programs for adults if the individual:
(1) Has been referred for psychiatric
rehabilitation program services by a licensed mental health professional who:
(a) Is enrolled as a provider in the Program
with an active status on the date of service;
(b)Facilitates an informed choice of
psychiatric rehabilitation program providers; and
(c) Currently provides inpatient, residential
treatment center, or outpatient mental health services to the
individual;
(2) Has a
diagnosis listed in COMAR
10.09.70.02L; and
(3) Is in need of program services
in order to improve or restore independent living and social skills necessary
to support the individual's recovery, ability to make informed decisions and
choices, and participation in community life.
C. Individuals are eligible for Psychiatric Rehabilitation Programs for minors if the individual:
(1) Has been referred for psychiatric
rehabilitation program services by a licensed mental health professional who:
(a) Is enrolled as a provider in the Program
with an active status on the date of service;
(b) Facilitates an informed choice of
psychiatric rehabilitation program providers; and
(c) Currently provides inpatient, residential
treatment center, or outpatient mental health services to the minor;
(2) Is currently in, and remains
in, active mental health treatment;
(3) Has the appropriate consent to
participate in psychiatric rehabilitation program services;
(4) Has a diagnosis listed in COMAR
10.09.70.02L and
severe functional impairments in at least one life domain;
(5) With psychiatric rehabilitation program
services, is expected to have reduced symptoms of their mental illness or
functional behavioral impairment as a result of their mental illness based on
the clinical evaluation and ongoing treatment plan; and
(6) Is at risk for requiring a higher level
of care, or is returning from a higher level of care.
D. Individuals are eligible for Mobile Treatment Services if it is assessed that the individual will benefit from mobile treatment services and the individual is:
(1) Experiencing homelessness;
(2) Unable or unwilling to use, on a
continuing basis, community-based mental health services that are prescribed
for the individual; or
(3) In an
institution or inpatient facility and would be able to reside in a community
setting if the individual received MTS and other appropriate support
services.
Disclaimer: These regulations may not be the most recent version. Maryland may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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